The presence of dormant tubercle bacilli presents a major problem for tuber
culosis treatment. The culture supernatant of Mycobacterium tuberculosis wa
s previously shown to resuscitate dormant bacilli in vitro. Here we report
identification of active components as phospholipids and a tuberculosis pro
tein Rv1174c. Remarkably, dormant bacilli from a one year old culture which
failed to form any colonies could be resuscitated with peptides derived fr
om Rv1174c and formed 10(5-7) colonies/ml. This finding represents the firs
t unambiguous demonstration of resuscitation of dormant tubercle bacilli in
vitro and may have implication for the study of mycobacterial dormancy and
the design of novel strategies for improved treatment of tuberculosis. (C)
2001 Academic Press.